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When inspecting the patient for respiratory anomalies, you should be looking for the following things:. It is important to approach palpation of the chest in a systematic way.

When palpating the chest, the following things should be done:. Respiratory assessment bei alteren erwachsenen auscultating the chest, it is important to auscultate over all of the lung areas. S5 Register. Verify E-mail:. Verify Password:. Respiratory Exam General. General Wash your hands upon entering the room Introduce yourself and the exam to the patient in a way respiratory assessment bei alteren erwachsenen the patient will understand Patient should be sitting For patients who cannot sit, ex.

This helps to move the scapulas out of the way For female patients, keep the chest draped and only expose intermittently as necessary. Vital Signs. Vital Signs Vital signs should be measured on every patient.

They include: Blood pressure Heart rate Respiratory rate Temperature Oxygen saturation may also be included. Palpation It is important to approach palpation of the chest respiratory assessment bei alteren erwachsenen a systematic way. You are palpating for transmission of vibration across the chest wall to your hand. Percuss all areas of the lung, including the right middle lobe and lingula. It is important to percuss both respiratory assessment bei alteren erwachsenen anterior and posterior chest.

Normal is described as resonant, respiratory assessment bei alteren erwachsenen clasically suggests a pleural effusion but may also suggest pneumonia, atelectasis etc. Hyperresonance suggests emphysema or a pneumothorax. Ask the patient to fully exhale and hold their breath. Percuss down their back starting at the spine of the scapula, listening for the percussion note to change from resonant to dull.

Mark this position. Ask the patient to fully inhale and hold their breath. Percuss down from your previous mark, listening for the percussion note to change from resonant to dull. Remember to tell the patient that they can release their breath. The difference between the two markings is the diaphragmatic excursion.

It may be necessary to measure the diaphragmatic excursion on both sides if hemiparesis is suspected. Auscultation When auscultating the chest, it is important to auscultate over all of the lung areas General auscultation anterior and posterior chest. Systematically auscultate the chest over the same areas as for percussion using the diaphragm of your stethoscope. Ask the patient to whisper "one two three" as you listen to areas of suspected consolidation.

A positive test is the clear transmission of the whispered words through your stethoscope. Pulmonary Landmarks. Pulmonary Landmarks The following are some useful pulmonary landmarks Figure 1: Useful pulmonary landmarks. Main Menu. Disclaimer Report an Error About. Desktop Version.


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